Wdowik M J, Kendall P A, Harris M A
The Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, Colorado (Ms Wdowik and Drs Kendall and Harris)
Diabetes Educ. 1997 Sep-Oct;23(5):558-62. doi: 10.1177/014572179702300507.
College students with diabetes are at risk for improvised diabetes care due to their age, newly acquired independence, and erratic schedules. The purpose of this study was to employ focus groups and interviews to identity factors that affect the ability of these students to engage in appropriate self-care behaviors. Focus group and interview questions were developed to address variables of the Expanded Health Belief Model. Two focus groups and fifteen interviews were conducted. Barriers to successful diabetes management were time management, stress hypoglycemic reactions, diet management constraints, and inadequate finances. Several psychosocial issues that affected successful management also were identified. These issues were grouped into three categories: (1) inconveniences of diabetes management, (2) motivators to managing diabetes, and (3) social support issues. The findings show the value of formative evaluation that can then be used to design diabetes education programs to meet clients' perceived needs.
患有糖尿病的大学生由于其年龄、新获得的独立性和不稳定的日程安排，面临着临时糖尿病护理的风险。本研究的目的是通过焦点小组和访谈来确定影响这些学生进行适当自我护理行为能力的因素。焦点小组和访谈问题的设计旨在解决扩展健康信念模型的变量。进行了两个焦点小组和十五次访谈。成功管理糖尿病的障碍包括时间管理、应激性低血糖反应、饮食管理限制和资金不足。还确定了一些影响成功管理的心理社会问题。这些问题分为三类：（1）糖尿病管理的不便之处，（2）管理糖尿病的动机，以及（3）社会支持问题。研究结果显示了形成性评估的价值，该评估随后可用于设计糖尿病教育项目，以满足客户的感知需求。
